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Virginia rates for HCPCS 84375

Sugars Chromatographic Tlc/Paper Chromatography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $74.02 / $129.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $32.36 / $33.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $39.00 / $189.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $15.60 / $20.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.07 / $88.74 / $132.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.26 / $67.17 / $176.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $19.89 / $45.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $48.75 / $57.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $28.40 / $33.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $26.00 / $36.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.72 / $45.35 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $46.30 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $17.55 / $23.40